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Reposisi dan Massage Menurunkan Derajat Dekubitus pada Pasien Immobilisasi dengan Gangguan Neurologis: Case Report Najihah, Najihah; Sulistiani, Ita; Pailungan, Ferly Yacoline; Musdalifah, Musdalifah; Wijaya, I Kade; Thalib, Abdul; Mas’ud, Alfian; Tahir, Takdir; Afelya, Titi Iswanty
Window of Nursing Journal Vol. 1.No. 1 (Juni 2020)
Publisher : Pusat Kajian dan Pengelola Jurnal Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (867.097 KB) | DOI: 10.33096/won.v1i1.18

Abstract

Stroke dan penyakit gangguan fungsi neurologis lainnya akan mengakibatkan berbagai macam gangguan fungsi tubuh seperti gangguan fungsi kognitif, sirkulasi, kekuatan otot, fungsi perifer, fisiologis yang akan berpengaruh pada sistem sensorik dan motorik penderitanya. Hal ini membuat pasien mengalami immobilisasi. Immobilisasi yang lama akan menimbulkan resiko kerusakan pada permukaan tubuh yang tertekan yang disebut dengan dekubitus terutama pada daerah-daerah yang menonjol. Oleh karena dilakukan pemberian tindakan reposisi dan massage untuk menurunkan derajat dekubitus pasien imobilisasi dengan gangguan neurologis. Penelitian ini merupakan penerapan Evidence Based Nursing Practice (EBNP) dengan pendekatan studi kasus yang melihat perubahan pada luka dekubitus yang terjadi setiap hari. Populasi dalam penerapan EBNP ini adalah seluruh pasien yang dirawat di Ruang perawatan Lontara 3 Neuro RS dr. Wahidin Sudirohusodo Makassar. Teknik sampling yang digunakan adalah purposive sampling, sampel ditentukan berdasarkan Number Needed to Treat (NNT) dari jurnal utama yang digunakan sebagai pedoman penerapan EBNP. Hasil implementasi EBNP ditemukan bahwa pemberian reposisi dan massage selama 7 hari dapat menurunkan ukuran diameter luka, memberikan perubahan warna mendekati warna kulit di sekitar, lebih cepat menurunkan derajat luka pada dekubitus derajat 1, dan lebih cepat menurunkan derajat dekubitus pada bagian Heel. Disimpulkan bahwa reposisi dan massage efektif dalam menurunkan dekubitus derajat 1 dan 2 pada pasien imobilisasi dengan gangguan neurologis di Ruang Lontara 3 Neuro RS dr. Wahidin Sudirohusodo Makassar. Sehingga perawat sebaiknya melakukan screening dekubitus dan jika ditemukan tanda-tanda dekubitus derajat 1 dan 2 sebaiknya dilakukan kombinasi reposisi tiap 2 jam dan massage 2 kali sehari minimal selama 7 hari. Stroke and other neurological dysfunction diseases will result in various kinds of bodily disorders such as cognitive impairment, circulation, muscle strength, peripheral function, physiological effects that will affect the sensory and motor systems. This makes the patient immobilized. Prolonged immobilization will pose a risk of damage to depressed body surfaces called pressure ulcers, especially on prominent areas. Therefore, the administration of repositioning and massage measures to reduce the degree of pressure ulcers of immobilized patients with neurological disorders. This research is the application of Evidence Based Nursing Practice (EBNP) with a case study approach that looks at changes in pressure ulcers that occur every day. The population in the application of EBNP is all patients treated in the Lontara 3 room Neuro at Hospital Dr. Wahidin Sudirohusodo Makassar. The sampling technique used is purposive sampling, the sample is determined based on the Number Needed to Treat (NNT) from the main journal that is used as a guideline for the implementation of EBNP. The results of the EBNP implementation found that the administration of repositioning and massage for 7 days can reduce the size of the wound diameter, provide color changes close to the color of the surrounding skin, more quickly reduce the degree of injury in pressure ulcerss 1 degree, and more quickly reduce the degree of pressure ulcers on the heel. It was concluded that repositioning and massage are effective in reducing pressure ulcers 1 and 2 in immobilized patients with neurological disorders in the Lontara 3 room Neuro Hospital Dr. Wahidin Sudirohusodo Makassar. So that nurses should do dekubituss and if there are signs of pressure ulcers 1 and 2 should be a combination of repositioning every 2 hours and massage twice a day for at least 7 days.
Efektivitas sabun antibakteri terhadap penurunan biofilm pada luka kaki diabetik: Literature review Muhrawi Yunding; Saldy Yusuf; Takdir Tahir; Fitria Amrullah
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 6, No 1 (2020): Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.6.1.34-46

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Pendahuluan: Luka Kaki Diabetik (LKD)merupakan penyakit dengan proses penyembuhan yang lama.LKD yang mengalami keterlambatan penyembuhan diakibatkan oleh adanya biofilm pada luka. Prognosis penderita LKD yang mengalami infeksi cukup buruk, seperti amputasi dan kematian. Tindakan dalam mengontrol biofilmpada penderita LKD diperlukan, salah satunya adalah dengan pencucian luka yang efektif menggunakan sabun antibakteri. Tujuan dari tinjauan ini adalah untuk mengetahui efektivitas pencucian luka dengan menggunakan sabun antibakteri terhadap penurunan biofilm.Metode: Tinjauan ini merupakan sebuah scoping review dengan menggunakan data based Pubmed, Proquest, Science Direct and Willey. Hasil:Terdapat 307 artikel yang didapatkan dari 4 database, sebanyak 10 artikel yang memenuhi kriteria inklusi.Mayoritas artikel membahas tentang efek chlorhexidineterhadap biofilm sebanyak 9 artikel dan hanya 1 artikel membahas tentang efek Parachlorometxylenol(PMCX). CHG mampu mereduksi bakteri hingga 8 unit log CFU (> 99,99 %) dan biofilm, CHG dalam menghilangkan stapilococcus aureus(6 hingga > 8 log10), PMCXefektif melawanStaphylococcus aureusdan P. aeruginosapenyebab infeksi nasokomial. Simpulan:Pencucian luka dengan menggunakan sabun antibakteri mampu menghilangkan biofilm dan telah terbukti lebih efektif dibandingkan dengan pencucian dengan air saja. Efek antibakteri lebih efektif jika dikombinasikan dengan terapi lain seperti ozon.
Role of Family in Increasing Self Efficacy Patient Heart Failure Suwardha Yunus; Ariyanti Saleh; Takdir Tahir
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 8, No 4 (2020): November 2020
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.8.4.2020.435-442

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Heart failure is a collection of clinical and complex problems that can be life-threatening due to structural abnormalities or heart dysfunction. In both developed and developing countries. The role of the family is needed in the handling of HF patients to prevent the occurrence of mortality and morbidity, also has an impact on self-efficacy. This review identifies the role of the family in increasing self-efficacy. Metode of discursive with a literature review of several articles related to the 2010-2019 scientific search using PubMed, Cochran, ScienceDirect, google scholar, there are 117 articles. Article exclusion is not in English and not in full text. The remaining 36 articles are. The inclusion of articles according to the study were 5 articles. Results are obtained 5 articles consisting of 1 article discussing the role of the family as caregivers for self-care, 2 articles discuss increasing the self-efficacy of HF patients and their treatment. And 2 articles discuss the role of the family as a supporter of HRQoL. The role of the family in the care of patients with HF as caregivers fulfills the patient's self-care, and affect the patient's self-efficacy to improve the quality of life.
Instrumen evaluasi kinerja preceptor dengan kepuasan, kepercayaan diri dan critical thinking preceptee dalam melaksanakan praktik klinik; pilot study Maria Jeinny Regar; Syahrul Syahrul; Takdir Tahir
Jurnal Keperawatan Muhammadiyah 2019: EDISI KHUSUS
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (167.89 KB) | DOI: 10.30651/jkm.v4i2.2194

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                                                                               AbstractBackground: A preceptee require a qualified Preceptor to guide them in clinical teaching and learning activities to be more confident, satisfied with the guidance obtained and can improve their critical thinking skills in nursing action. For that we need terstandart instruments to measure it. The purpose of this pilot study was to determine the value of Cronbach's alpha instruments and understanding the structure of words contained in the instrument. Methods: a pilot study of the instrument Preceptor performance, satisfaction, confidence and critical thinking preceptee at 20 nursing students were obeying program nurses in hospitals Makassar. Results: The results obtained pilot study Cronbach's alpha values> 0.90, which indicates that the Internal Consistency good reliability, value corrected item-total correlation of each item> 0.90, which indicates that the item total correlation coefficients were very good and had a good word structure. Conclusion: Instrument performance Preceptor, Satisfaction, Confidence and Critical Thinking preceptee have internal structure of words and good consistency.
Uji Validitas Dan Reabilitas Caring Behaviors Inventory (CBI) Di Beberapa Negara : Literature Review Fitriani Sangkala; Andi Masyitha Irwan; Takdir Tahir
Jurnal Keperawatan Muhammadiyah Vol 3, No 2 (2018): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (652.905 KB) | DOI: 10.30651/jkm.v3i2.1816

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Perilaku caring menjadi sorotan utama dalam menilai kualitas perawatan pasien. Untuk mengukur persepsi perilaku caring perawat sudah ada beberapa alat ukur yang tersedia. Salah satunya adalah dengan Caring Behaviors Inventor (CBI). Sebelum menggunakan instrumen tersebut harus dilakukan uji validitas dan reabilitas. Tujuan dari studi literatur ini adalah untuk  mengidentivikasi validitas dan reabilitas Caring Behaviors Inventory di beberapa  Negara. Metode : Data base yang digunakan dalam pembuatan literature review ini adalah Pubmed, Willey dan Google Schoolar. Hasil : Terdapat 134  artikel yang diidentifikasi dan telah di terbitkan. Dari artikel yang diperoleh ada 4 artikel yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan nilai validitas dan reabilitas yang baik, meskipun ada item yang koefisien korelasinya rendah, tapi jika item tersebut dihapus nilai Cronbach alpha tetap > 0,80. Kesimpulan: Caring Behaviors Inventory yang telah diadaptasi dibeberapa negara sebanding dengan versi aslinya, dan dapat digunakan. Data validitas dan reabilitas instrument CBI akan memberikan kemudahan peneliti serta praktisi mengidentifikasi instrumen yang handal dalam mengukur persepsi perilaku caring perawat.
Peranan Pencucian Luka Terhadap Penurunan Kolonisasi Bakteri Pada Luka Kaki Diabetes Nurbaya Nurbaya; Takdir Tahir; Saldy Yusuf
Jurnal Keperawatan Muhammadiyah Vol 3, No 2 (2018): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (344.673 KB) | DOI: 10.30651/jkm.v3i2.1829

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ABSTRACT Background: Diabetic ulcer is a major complication of diabetes and is the main cause of infection. One of the efforts or interventions to reduce infection by doing wound cleansing, but research on the effects of wound cleansing on bacterial colonization is still limited. The purpose of this literature study was to determine the effectiveness of using a type of wound cleansing on changes in bacterial colonization in DM wounds. Methods: The data base used in making this review literature is Pubmed, Science Direct, Google Scholar and Cochrane. there are 144 articles identified and published from 2010-2018. Of the 144 articles 8 articles that met the inclusion criteria. Results: Various wound cleansing solutions are used to optimize the wound healing process and the effect is quite good in decreasing bacterial colonies in DM wounds. Conclusion: wound cleansing type ESWA has a bactericidal effect, is effective in reducing bacterial colonization, and economically it is expected to be a concern in the treatment process injury, research is needed as to whether ESWA washing types can be used to reduce bacterial colonization in DM wounds.
Study Literature Peran Epidermal Growth Factor dalam Proses Penyembuhan Luka Nur Febrianti; Takdir Tahir; Saldy Yusuf
Jurnal Keperawatan Muhammadiyah Vol 4, No 1 (2019): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (511.819 KB) | DOI: 10.30651/jkm.v4i1.1852

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Background: Wounds occur when normal skin structures are damaged. Injury events in Indonesia have increased by 8.2% and the highest prevalence in South Sulawesi is 12.8%. One of the growth factors that play a role in the wound healing process is epidermal growth factor (EGF). EGF includes polypeptides that contain 53 amino acids, and EGF is present in all fluids in the body and platelets. This review aims to determine the role of EGF in the process of wound healing. Method: Data collected since 2017 using 8 databases (pubmed, science direct, google schollar) where the literature used is internationally published literature, additional references are taken from the bibliography of all relevant articles, all relevant articles are reviewed and analyzed. Results: EGF has a role in wound healing. EGF increases motility and epithelial cell migration. EGF can stimulate cell growth, proliferation and differentiation by binding to high affinity to the EGF receptor (EGFR) on the cell surface. The goal of EGF healing is most epithelial tissue, fibroblasts, and endothelial cells. EGF can call three important biological actions in tissue repair including cytoprotection, mitogenesis, and migration. Conclusion: EGF plays an important role in the wound healing process, especially in the re-epithelial process. Based on this review, it is suggested that the selection of dressings that are used should support EGF.
Gambaran Strategi Program Studi Keperawatan Untuk Meningkatkan Kelulusan Mahasiswa Dalam Uji Kompetensi : Literatur Review Ahmad Mushawwir; Takdir Tahir; Kusrini Kadar; Hamdiah Ahmar; Nur Khalid
Jurnal Keperawatan Muhammadiyah 2019: EDISI KHUSUS
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.577 KB) | DOI: 10.30651/jkm.v4i2.2343

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Description departement of nursing strategy to increase students approach in competency test: literatur review  AbstractBackground: Nursing competency exam is a process to measure the knowledge, skills and performance of student in colleges that obtaining nursing department which aimed to achieve the standard of competency of alumnae who meet up with work proficiency standard. The nursing competency exam has been conceded by twelve times in Indonesia, with the National UKNI results by period VII was 37.87%, in period VIII was 37.42%, on period IX was 33.46% and on period X was 39,3%. The results show how pure the passing grad rate of students in UKNI. Methods: the databases used in this literature are Pubmed, Science Direct, and Wiley online. Result: There were 14 articles, but those who comply with the inclusion criteria were 7 articles. Some studies show a number of institutional strategies to improve student passing grade in NCLEX-RN competence exam. Discussion : online caching, nursing clinic courses, remedial policies, fourteen steps Exit Examination Review, a course in focusing to solving clinical decision problems, preparation competency test courses, course work and Adaptive Quizzing System tests, the  educational basic curriculum establishment, learning methods, the students risk Adaptive Quizzing program detection, learning style, confidence and Locus of Control (LOC) as some strategi of institution to improve student passing grade in NCLEX-RN competence exam. Conclusion: to increase the percentage of student graduation in the competency test it takes the seriousness of the institution to foster and prepare students to take the competency test.
Studi Literatur Manfaat Edukasi Berbasis Video Dalam Peningkatan Pengetahuan Perawatan Stoma Sitti Salmawati; Saldy Yusuf; Takdir Tahir
Jurnal Keperawatan Muhammadiyah 2019: EDISI KHUSUS
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v4i2.2292

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Objective: conduct a literature review on stoma video-based education to improve stoma care knowledgeMethod: The literature review was carried out by searching the results of scientific publications from the Pubmed, Science Direct, Google Schoolar, and Cochrane databases which were in the period from 2010-2017, English full text with the keyword "Ostomy", "Colostomy", " education "," education program "," educational media "," stoma care "," Selfcare "and" patient care "Results: Obtained 88 articles where 5  were included in the inclusion criteria.4 experimental studies, some with randomized controlled trials, 1 descriptive qualitative. research using educational methods with videos showed that education using videos significantly increased knowledge and abilities in stoma care.Conclusion: Providing video-based education can improve the knowledge of patients with stoma about how to treat stoma
Efek program manajemen diri pada pasien penyakit paru obstruktif kronik : Systematis review Harni Harniati; Syahrul Syahrul; Takdir Tahir
Jurnal Keperawatan Muhammadiyah Vol 4, No 2 (2019): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (485.778 KB) | DOI: 10.30651/jkm.v4i2.2878

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ABSTRACTBackground: Self-management programs are very important in the care of patients with COPD as an independent intervention in an effort to improve health status. Aim: Of this systematic review is to find out the form of self-management intervention in COPD patients, an instrument to measure the outcomes of self-management and the effects of self-management programs in COPD patients. Methods: Used are electronic data bases from journals published through ProQuest, PubMed., And ScienceDirect. Results: Of a review of 9 selected journals stated that self-management programs had an influence on increasing lung capacity, exercise capacity and health-related quality of life compared to patients who experienced standard care. The research instrument was used to measure lung capacity using spirometry, Exercise capacity used a six-minute walking distance (6MWD), Incremental Shuttle Walk Test (ISWT) and the Endurance Shuttle Walk Test (ESWT), and health-related quality of life measured by St George Respiratory Questionnaire (SGRQ). The results showed that the effects of self-management programs benefited in the quality of care, reduced the number of days of hospital care and did not increase the number of deaths. Conclusion: Self-management programs in COPD patients provide the ability to manage disease so that it can increase lung capacity, exercise capacity and quality of life related to health. Keywords: Chronic obstructive pulmonary disease, exercise capasity, lung   capacity self management program, quality of life
Co-Authors Abdul Majid Ade Irma Rahayu, Ade Irma Ade Irma Suryani Afelya, Titi Iswanty Ahmad Mushawwir Ahmar, Hamdiah Ake, Julianus Alfian Mas'ud Alia Andriany Alia Andriany Andriany, Alia Anita Rosman Ardiansyah Rasyid Ariyanti Saleh Awal Darmawan Ayu Hartina Bahriah, Bahriah Bahtiar Yusuf Dian Ika Pertiwi Elieser Toding Mendila Elly Lilianty Sjattar Erfina Erfina Erwin Purwanto Fatamorgana Abdullah Fatimah Farah Nur Suci Shabir Fitria Amrullah Fitriani Sangkala Gala, Merry Hade, Nurwahidah Hade, Nurwahidah Harisa, Akbar Harni Harniati Hasanuddin Nuru Hasanuddin Nuru Hasriyani Hasriyani Hasriyani Hasriyani, Hasriyani Huddu, Risma I Kade Wijaya Ilhamjaya Patellongi Ilkafah Ilkafah, Ilkafah Irwan, Andi Masyitha Iskandar Zulkarnaen Ita Sulistiani Jannah, Uyunul Jarman Jarman Julianus Ake Julianus Ake Kadek Ayu Erika Kadek Ayu Erika Kadek Ayu Kadek Ayu Kadek Erika Kasmawati Khoirul Anam Krismayanti Kusrini Kadar Kusrini S. Kadar Kusrini Semarwati Kadar Lande'eo, Imelda Olviana Lestari, Ima Mustika Tri Lilian Arifka Juli Abdullah M. Alfian Rajab Makbul Aman, Makbul Maria Jeinny Regar Maryunis Maryunis Mas’ud, Alfian Midawati Djafar Moh Gifari S Moh Gifari S Muhammad Adjiz Zuhri Muhammad Hidayat Muhammad Idhan Muhrawi Yunding Musdalifah Musdalifah Musdalifah Musdalipah Musdalipah Najihah Najihah, Najihah Nofita Tudang Rombeallo Nur Febrianti Nur Isriani Nur Khalid Nurawaliah Rasyid Nurbaya Nurbaya Nurfadhila Nurfadhila Nurfiah, Nurfiah Nurhaya Nurdin Nurmaulid Nurmaulid Nurpa Masahude, Tendri Mariadjeng Nurwahidah Nurwahidah Nurwahidah Nurwahidah Paridah Paridah Putri, Egi Trisnayanti Ramla Wati Rasyid, Nur Awaliah Reni Astuti Risnah Risnah, Risnah Rosman, Anita Rosyidah Arafat, Rosyidah S, Moh Gifari Saldy Yusuf Saldy Yusuf Saldy Yusuf Sitti Rahmatiah Sitti Salmawati Sjattar, Elly L. Sri Bintari Rahayu Rahayu Sri Wahyuni Yunus Kanang Sriwahyuni Sriwahyuni Sriwahyuni St Syahriyani Suaib Suaib Suhirman Suhirman Sulistiani, Ita Suprataba Suprataba Suryadi Suryadi Suwardha Yunus Syahrul Ningrat Syahrul Ningrat Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul, Syahrul Syakib Bakri Syam, Yuliana Syam, Yuliana Tawil, Selviana Thalib, Abdul Titi Iswanty Afelya Upik A. Miskad, Upik A. Uyunul Jannah Uyunul Jannah Wafiq Aulia Ramadhani Wijaya, I Kade Yacoline Pailungan, Ferly Yodang Yodang Yuliana Syam Yuliana Syam Yuliati - Yuliati Yuliati Yusuf, Bahtiar